Abstract
Trifurcating coronary artery disease is a complex atherosclerotic process involving the origin of one or more of three side branches arising from a left main coronary artery. With the emergence of drug-eluting stents, interventional cardiologists have become more aggressive in treating this kind of complex diseases, also in patients with an unprotected left main disease. Few series of percutaneous coronary intervention (PCI) on significant lesions of the left main trifurcations have been described, approached with dissimilar techniques in the best attempt of avoiding life-threatening complications. We therefore describe a case of successful PCI on a left main trifurcation supported by pre-and post-intravascular ultrasound iconography.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Ragosta M, Dee S, Sarembock JJ, Lipson LC, Gimple LW, Powers EE (2006) Prevalence of unfavorable angiographic characteristics for percutaneous intervention in patients with unprotected left main coronary artery disease. Catheter Cardiovasc Interv 67:357–362
Zimrin D, Reyes PA, Reicher B, Poston RS (2007) Hybrid alternative for high risk left main disease. Catheter Cardiovasc Interv 69:123–127
Shammas NW, Dippel EJ, Avila A, Gehbauer L, Farland L, Brosius S, Jerin M, Winter M, Stoakes P, Byrd J, Majetic L, Shammas G, Sharis P, Robken J (2007) Long-term outcomes in treating left main trifurcation coronary artery disease with the Paclitaxel-eluting stent. J Invasive Cardiol 19(2):77–82
Furuichi S, Sangiorgi GM, Palloshi A, Godino C, Airoldi F, Montorfano M, Chieffo A, Michev I, Carlino M, Colombo A (2007) Drug-eluting stent implantation in coronary trifurcation lesions. J Invasive Cardiol 19(4):157–162
Bilsel T, Akbulut T, Yesilcimen K, Terzi S, Sayar N, Dayi SU, Akgoz H, Ergelen M, Ciloglu F (2006) Single high-dose bolus tirofiban with high-loading-dose clopidogrel in primary coronary angioplasty. Heart Vessels 21(2):102–107
Shammas NW (2007) Trifurcating coronary artery disease: a proposed classification and treatment methodology. J Invasive Cardiol 19:32–35
Lee RJ, Shih KN, Lee SH, Shyu KG, Chiu CZ, Lin SC, Hung HF, Liou JY, Cheng JJ, Kuan P (2007) Predictors of long-term outcomes in patients after elective stent implantation for unprotected left main coronary artery disease. Heart Vessels 22(2):99–103
Mori F, Tsurumi Y, Hagiwara N, Kasanuki H (2007) Impact of post-dilatation with a focal expanding balloon for optimization of intracoronary stenting. Heart Vessels 22(3):152–157
Nanto S, Kodama K, Mishima M, Komamura K, Asada S, Inoue M (1990) Percutaneous transluminal coronary angioplasty using kissing balloon technique in the left main trunk. Heart Vessels 5(2):107–112
Shammas N (2007) Trifurcating coronary artery disease: expanding the frontier of interventional cardiology. J Invasive Cardiol 19(6):284–285
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Anselmino, M., Biondi-Zoccai, G., Moretti, C. et al. Percutaneous coronary intervention on left main coronary artery trifurcation. Heart Vessels 23, 279–281 (2008). https://doi.org/10.1007/s00380-008-1049-6
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s00380-008-1049-6